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Family Care Chiropractic · Camily Care Dr. Marcel Quinones Chiropractor 7401 Preston Highway Louisville, Kentucky 40219 (502) 962-8700 FAX (502) 962-8714 Authorization, Assignment,

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Page 1: Family Care Chiropractic · Camily Care Dr. Marcel Quinones Chiropractor 7401 Preston Highway Louisville, Kentucky 40219 (502) 962-8700 FAX (502) 962-8714 Authorization, Assignment,
Page 2: Family Care Chiropractic · Camily Care Dr. Marcel Quinones Chiropractor 7401 Preston Highway Louisville, Kentucky 40219 (502) 962-8700 FAX (502) 962-8714 Authorization, Assignment,
Page 3: Family Care Chiropractic · Camily Care Dr. Marcel Quinones Chiropractor 7401 Preston Highway Louisville, Kentucky 40219 (502) 962-8700 FAX (502) 962-8714 Authorization, Assignment,
Page 4: Family Care Chiropractic · Camily Care Dr. Marcel Quinones Chiropractor 7401 Preston Highway Louisville, Kentucky 40219 (502) 962-8700 FAX (502) 962-8714 Authorization, Assignment,

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